Electrosurgical Instrument Control Circuit for Adaptive Energy Modality Switching

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Solution Overview

Problem

Current surgical instruments lack advanced control systems to adapt energy delivery based on real-time tissue conditions, leading to inefficiencies and potential tissue damage during procedures.

Innovation Solution

A surgical instrument with an ultrasonic blade and clamp arm, featuring a control circuit that monitors parameters to switch between different energy modalities based on predetermined thresholds, ensuring optimal energy delivery and tissue interaction.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Adaptability or versatility

If a single energy modality is used in surgical instruments, then the device complexity is reduced, but the adaptability to different tissue conditions deteriorates

Engineering Contradiction:
Improveadaptability to tissue conditionsVSAvoidcontrol system complexity
Core Design Contradiction:
Adaptability or versatilityVSDevice complexity

Solution Approach 1:

The surgical instrument dynamically switches between ultrasonic and RF energy modalities based on real-time tissue conditions. The control circuit monitors tissue parameters and automatically transitions between energy types, making the system adaptive without requiring complex manual intervention from the surgeon.

Inventive Principle:
Principle #15Dynamics

Solution Approach 2:

The surgical instrument integrates multiple energy modalities (ultrasonic and RF) into a single device, enabling it to perform different surgical functions depending on tissue conditions. This multi-functionality allows one instrument to replace what would traditionally require multiple specialized tools.

Inventive Principle:
Principle #6Universality (Multi-functionality)

2Manufacturing precision

If real-time parameter monitoring is implemented, then the manufacturing precision of energy delivery is improved, but the device complexity increases

Engineering Contradiction:
Improveenergy delivery precisionVSAvoidcontrol circuit complexity
Core Design Contradiction:
Manufacturing precisionVSDevice complexity

Solution Approach 1:

The control circuit continuously monitors tissue parameters during surgical procedures and uses this feedback to adjust energy delivery in real-time. This closed-loop control ensures precise energy application while automatically adapting to changing tissue conditions, eliminating the need for manual calibration.

Inventive Principle:
Principle #23Feedback

Solution Approach 2:

The surgical instrument autonomously monitors its own operating parameters and self-regulates energy delivery based on detected tissue conditions. The system performs self-diagnosis and self-adjustment, reducing the need for external monitoring equipment or complex manual control mechanisms.

Inventive Principle:
Principle #25Self-service

3Productivity

If automatic energy modality switching is implemented, then the productivity of surgical procedures is improved, but the reliability of energy delivery may deteriorate

Engineering Contradiction:
Improvesurgical procedure efficiencyVSAvoidenergy delivery reliability
Core Design Contradiction:
ProductivityVSReliability

Solution Approach 1:

The automatic switching between ultrasonic and RF modalities is driven by real-time feedback from tissue parameter monitoring. This ensures that transitions occur only when appropriate, maintaining reliable energy delivery while improving surgical efficiency through automated adaptation to tissue conditions.

Inventive Principle:
Principle #23Feedback

Applied Scientific Principles

This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.

Function Achieved in This Case

The instrument effectively adjusts energy delivery in real-time, enhancing precision and safety by transitioning between energy modes based on monitored parameters, improving tissue handling and procedural outcomes.

Implementation Method 1

a transducer configured to generate an ultrasonic energy output

Methodology Applied
Scientific EffectUltrasonic vibration: Ultrasonic Vibration

Implementation Method 2

a waveguide configured to transmit the ultrasonic energy output to the ultrasonic blade

Methodology Applied
Scientific EffectMechanical vibration transmission: Vibration

Data Source

PatentUS11771487B2Mechanisms for controlling different electromechanical systems of an electrosurgical instrument
Publication Date: 2023.10.03 CILAG GMBH INTERNATIONAL
  • US11771487B2 patent drawing
  • US11771487B2 patent drawing
  • US11771487B2 patent drawing

AI summary

A surgical instrument is disclosed. The surgical instrument comprises an end effector comprising an ultrasonic blade and a clamp arm. The clamp arm is movable relative to the ultrasonic blade to transition the end effector between an open configuration and a closed configuration to clamp tissue between the ultrasonic blade and the clamp arm. The surgical instrument further comprises a transducer configured to generate an ultrasonic energy output and a waveguide configured to transmit the ultrasonic energy output to the ultrasonic blade. The surgical instrument further comprises a control circuit configured to monitor a parameter of the surgical instrument, wherein crossing an upper predetermined threshold of the parameter causes the control circuit to effect a first electromechanical system, and wherein crossing a lower predetermined threshold of the parameter causes the control circuit to effect a second electromechanical system different than the first electromechanically system.